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Reducing attendances and waits in emergency departments : a systematic review of present innovations

By Matthew Cooke, Joanne Fisher, Jeremy Dale, Eileen McLeod, Ala Szczepura, Paul Walley and Sue Wilson

Abstract

Reducing the waits in emergency departments is important for patients\ud and is a government priority. In order to reduce waits the whole\ud system must be considered. The flow of patients before arrival at the\ud emergency department determines the workload of the department.\ud The staffing, resources and systems within the emergency department\ud are key to providing high quality timely care. The flow of patients after\ud leaving the emergency department until their return home will\ud determine whether they can be discharged from the department in a\ud timely manner. Despite the present focus on emergency care in the\ud NHS there have been no reviews of the literature to inform the present\ud changes to reduce waits

Topics: R1
Publisher: [National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO)]
OAI identifier: oai:wrap.warwick.ac.uk:134

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Citations

  1. (1999). A 5-year time study analysis of emergency department patient care efficiency’,
  2. (2003). A brief riskstratification tool to predict repeat emergency department visits and hospitalizations in older patients discharged from the emergency department’,
  3. (2000). A community-based pharmaceutical care program for the elderly reduces emergency room and hospital use’,
  4. (1997). A comparison between emergency diagnostic and treatment unit and inpatient care in the management of acute asthma’,
  5. (1996). A comparison of general practitioner and usual medical care in an urban accident and emergency deaprtment in terms of process, health status and comparative costs’,
  6. (2001). A comprehensive inner-city asthma program reduces hospital and Reducing Attendances and Waits
  7. (2001). A decade of emergency department overcrowding’, Academic Emergency Medicine 8:1044-1050. Reducing Attendances and Waits
  8. (2002). A metaanalysis of fall prevention programs for the elderly: how effective are they?’, Nursing Research 51:1-8. Reducing Attendances and Waits in Emergency Departments © NCCSDO
  9. (1995). A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure’,
  10. (1999). A pneumonia clinical pathway decreases time to antibiotic treatment, length of stay and mortality’, Academic Emergency Medicine 6:438-b.
  11. (1996). A priority queuing model to reduce waiting times in emergency care’,
  12. (2002). A prospective, observational study of a chest pain observation unit in a British hospital’,
  13. (1995). A randomised trial of compassionate care for the homeless in an emergency department’,
  14. (1999). A randomized trial of comprehensive geriatric assessment and home intervention in the care of hospitalized patients’,
  15. (2003). A Report into the Implementation of the Modernisation Agency’s ‘Ideal Design of Emergency Access’ (IDEA) Project.
  16. (2000). A review of health professional attitudes and patient perceptions on ‘innapropriate’ accident and emergency attendances. The implications for current minor injury service provision in England and Wales’,
  17. (1990). A review of prehospital care litigation in a large metropolitan EMS system’
  18. (2001). A staffed ED assessment room: impact on wait times for nonurgent patients at a Saudi Arabian hospital’,
  19. (1996). A study of factors influencing emergency department patients’ length of stay at one community hospital’,
  20. (2002). A systematic review of the evidence supporting the use of priority dispatch of emergency ambulances’,
  21. (1997). Absence of association between insurance copayments and delays in seeking emergency care among patients with myocardial infarction’,
  22. (1998). Accident and emergency 24 hour senior cover – a necessity or a luxury?’
  23. (1989). Accident and emergency abusers’,
  24. (1990). Accident and emergency attendance rates: variation among patients from different general practices’,
  25. (1997). Accident and emergency care at the primary-secondary interface: a systematic review of the evidence on substitution. London: King’s Fund Commission.
  26. (1993). Accident and emergency in London. Better primary care won’t affect self referrals’,
  27. (1989). Accident and Emergency Medicine.
  28. (1999). Accident departments are not used properly’,
  29. (1996). Accuracy and efficiency of x-ray requests initiated by triage nurses in an accident and emergency department’, Accident and Emergency Nursing
  30. (2000). Activities of accident and emergency consultants - a time and motion study’,
  31. (2001). Admission avoidance and early discharge of acute hospital admissions: an accident and emergency based scheme’,
  32. (1986). Adolescent suicidal and self-destructive behavior. Results of an intervention study’,
  33. (1997). Advanced triage/advanced interventions: improving patient satisfaction’, Topics in Emergency Medicine
  34. (1997). Adverse outcomes of managed care gatekeeping’,
  35. (1985). After-hours telephone access to physicians with access to computerized medical records. Experience in an inner-city general medicine clinic’,
  36. (1996). Agreement between emergency physicians and psychiatrists regarding admission decisions’,
  37. (1993). Air pollution and emergency room admissions for chronic obstructive pulmonary disease: A 5-year study’,
  38. (1995). Air pollution and unscheduled hospital outpatient and emergency room visits’,
  39. (1999). Albuquerque halts EMS triage program’,
  40. (1996). Allocation of emergency ward patients to medicine departments: Increasing physicians’ incentive to shorten length of stay’,
  41. (1982). Alteration of emergency room usage in a family practice residency programme’,
  42. (1996). Ambulatory visits to hospital emergency departments. Patterns and reasons for use. 24 hours in the ED study group’,
  43. (2005). American College of Emergency Physicians. [n.d.]. The ACEP have produced a range of best practice resources, available online
  44. (2002). An advance triage system’, Accident and Emergency Nursing
  45. (1987). An analysis of emergency department time: laying the groundwork for efficiency standards’, Quality Review Bulletin.
  46. (1991). An analysis of emergency department use by patients with minor illness’,
  47. (1998). An analysis of frequent users of emergency care at an urban university hospital’,
  48. (1993). An analysis of unscheduled return visits to an urban emergency department’,
  49. (1999). An association between fine particles and asthma emergency department visits for children in Seattle’, Environmental Health Perspectives.
  50. (1984). An attempt to influence health care visits of frequent hospital emergency facility users’,
  51. (2001). An automated results notification system for PACS’,
  52. (1996). An emergency department-based protocol for rapidly ruling out myocardial ischaemia reduces hospital time and expense: results of a randomised study (ROMIO)’,
  53. (2000). An evaluation of the care of patients with minor injuries in emergency settings’, Accident and Emergency Nursing 8:101-109.
  54. (1999). An exploratory study of bed management’,
  55. (2003). An inexpensive modification of the laboratory computer display changes emergency physicians’ Reducing Attendances and Waits
  56. (2003). Analysis of factors influencing length of stay in the emergency department’,
  57. (2003). Analysis of patient flow in the emergency department and the effect of an extensive reorganisation’,
  58. (2003). Application of topical anesthetic at triage reduces treatement time for children with lacerations. A randomized controlled trial’,
  59. (2001). Appropriate destination and patient treatment (ADAPT) pilot project. Seattle: Kent and Maple Valley Fire and Life Safety; Public Health-Seattle and King County; Health South; Multi Care and Maple Valley Urgent Care Clinics; Premera; Group Health;
  60. (2001). Appropriateness of bed usage for inpatients admitted as emergencies to internal medicine services’,
  61. (2002). Appropriateness of leaving emergency medical service treated hypoglycemic patients at home: a retrospective study’,
  62. (1998). Appropriateness of use of emergency ambulances’,
  63. (1988). Are referrals by general practitioners influenced by the availability of consultants?’,
  64. (2000). Arizona College of Emergency Physicians.
  65. (1992). Assessing Quebec’s multicomponent program to reduce emergency room overcrowding’, Canadian Public Policy
  66. (2001). Association of lower continuity of care with greater risk of emergency department use and hospitalization in children’,
  67. (2005). at http://www.dh.gov.uk/assetRoot/04/08/69/02/04086902.pdf Department of Health. 2005a. Hospital Activity Statistics: Total time in A&E. [Online]. Available
  68. (2005). at http://www.isixsigma.com/library/content/c020311a.asp
  69. (2005). at http://www.modern.nhs.uk/esc/7902/Emer_case_study.pdf NHS Modernisation Agency.
  70. (2005). at www.ihi.org (search under ‘how to improve’)
  71. (2005). at www.modern.nhs.uk/emergency NHS Modernisation Agency. 2003b. Changing Workforce Programme: New ways of working in healthcare.
  72. (1994). Attendance at accident and emergency departments: unnecessary or inappropriate?’,
  73. (1997). Attendance pattern at an open casualty ward in Greater Copenhagen’, Ugeskrift for Laeger.
  74. (1995). Attitudes of Dublin accident and emergency department doctors and nurses towards the services offered by local general practitioners’,
  75. (2000). Audit of the effect of a fast tracking protocol on transfer time from A&E to ward for patients with hip fractures’,
  76. (2005). Available
  77. (2003). Bed-der than ever’,
  78. (2002). Behavior change counseling in the emergency department to reduce injury risk: a randomized, controlled trial’,
  79. (2000). Benefits of an informational videotape for emergency department patients’,
  80. (1990). Bounces: An analysis of short-term return visits to a public hospital emergency department’,
  81. (1998). By Accident or Design: A review of progress in A&E.
  82. (2001). By Accident or Design: Improving
  83. (1999). Call to needle times after acute myocardial infarction. Paramedics in Derbyshire can admit direct to coronary care unit when they diagnose myocardial infarction’,
  84. (1999). Call to needle times after acute myocardial infarction’,
  85. (1998). Can accident and emergency nurse practitioners interpret radiographs? A multicentre study’,
  86. (1993). Can effective parent education occur during emergency room visits?’ Family Medicine 25:598-601. Reducing Attendances and Waits in Emergency Departments © NCCSDO
  87. (2002). Can emergency department-initiated thrombolysis supported by a thrombolysis co-ordinator reduce treatment times?’,
  88. (2003). Can good bed management solve the overcrowding in accident and emergency departments?’
  89. (1986). Can Medicaid format alter emergency department utilization patterns?’, Pediatric Emergency Care.
  90. (1998). Can nurse practitioners offer a quality service? An evaluation of a year’s work of a nurse led minor injury unit’,
  91. (2002). Can paramedics accurately identify patients who do not require emergency department care?’, Prehospital Emergency Care
  92. (2002). Can paramedics safely decide which patients do not need ambulance transport or emergency department care?’, Prehospital Emergency Care
  93. (2001). Can paramedics using guidelines accurately triage patients?’ Annals of Emergency Medicine 38:268-277. Reducing Attendances and Waits in Emergency Departments © NCCSDO
  94. (2002). Cardiac markers and point of care testing: A practical approach’,
  95. (1999). Care of minor injuries by emergency nurse practitioners or junior doctors: A randomised controlled trial.’
  96. (1980). Changes in hospital emergency department use associated with increased family physician availability’,
  97. (1997). Characteristics of self referred patients attending minor injury units’,
  98. (2000). Clinical decision support tools in A&E nursing: A preliminary study’, Nursing Standard 14:32-39. Reducing Attendances and Waits
  99. (2003). Clinical decision units in the emergency department: old concepts, new paradigms, and refined gate keeping’,
  100. (2003). Clinical exceptions to the four hour emergency care target. [Online]. Available at http://www.dh.gov.uk/assetRoot/04/07/95/56/04079556.pdf (accessed 28
  101. (1995). Clinical Standards Advisory Group.
  102. (1994). Code stroke: An attempt to shorten inhospital therapeutic delays’,
  103. (2001). Communication difficulties during 999 ambulance calls: observational study’,
  104. (1993). Comparison of attendance and emergency admission patterns at accident and emergency departments in and out of London’,
  105. (1997). Comparison of out of hours care provided by patients’ own general practitioners and by commercial deputising services: A randomised Reducing Attendances and Waits
  106. (1997). Comparison of out of hours care provided by patients’ own general practitioners and commercial deputising services: a randomised controlled trial. I: the process of care’,
  107. (1997). Comparison of skin stapling devices and standard sutures for pediatric scalp lacerations: a randomized study of cost and time benefits’,
  108. (2002). Comparison of two benzodiazepines used for sedation of children undergoing suturing of a laceration in an emergency department’, Pediatric Emergency Care.
  109. (2002). Complete turnaround. Tears, long trolley waits and a hostile local press characterised A&E in Bath’,
  110. (1996). Comprehensive program to improve care leads to reduced ED use by patients with asthma: One hospital’s experience’,
  111. (1993). Computerized monitoring of emergency department patient flow’,
  112. (1984). Consequences of assessment and intervention among elderly people: a three year randomised controlled trial’,
  113. (1993). Consultant triage of minor cases in an accident and emergency department’,
  114. (1996). Controlled trial of a geriatric case-finding and liaison service in an emergency department’,
  115. (1999). Cooperatives and their primary care emergency centres: organisation and impact’,
  116. (1997). Coping with the inexorable rise in medical admissions: evaluating a radical reorganisation of acute medical care in a Scottish district general hospital’,
  117. (1999). Coroners and lack of emergency resources’,
  118. (1998). Correlation between triage nurse and physician ordering of ED tests’,
  119. (1998). Cost effective management programme for heart failure reduces hospitilisation’,
  120. (1996). Cost effectiveness of treating primary care patients in accident and emergency: a comparison between general practitioners, senior house officers, and registrars’,
  121. (2001). Cost-benefit analysis of social work services in the emergency department: A conceptual model’,
  122. (2000). Costs of sedation using oral midazolam: Money, time, and parental attitudes’, Pediatric Emergency Care
  123. (2001). Creating a Generic Model of Accident and Emergency departments Glasgow: Glasgow Caledonian.
  124. (1985). Cut your paperwork with this 4-minute E.D. admission form’,
  125. (1998). Data from ED patient tracking system help identify xray cycle time improvements’,
  126. (1999). Decreased health care quality associated with emergency department overcrowding’,
  127. (1998). Decreasing nonurgent emergency department utilization by Medicaid children’,
  128. (1989). Delayed discharges for medical and surgical patients in an acute care hospital’,
  129. (2000). Delays by patients, emergency physicians, and surgeons in the management of acute appendicitis: retrospective study’,
  130. (2003). Designing the accident and emergency system: Lessons from manufacturing’,
  131. (2003). Developing a community paramedic practitioner intermediate care support scheme for older people with minor conditions’,
  132. (1998). Developing a fast track program’,
  133. (1993). Developing a nursing managed central transportation service’,
  134. (2001). Development and impact of emergency ambulance ‘“treat and ’refer” protocols for non-serious 999 patients’, London: London Ambulance Service.
  135. (2002). Development of an emergency department overcrowding scale: results of the national ED overcrowding study (NEDOCS)’,
  136. (1998). Diabetes program cuts ED visits 67% in first 6 months’,
  137. (1997). Direct admission to the coronary care unit by the ambulance service for patients with suspected myocardial infarction’,
  138. (1996). Disagreement among health care professionals about the care needs of emergency department patients’, Annals of Emergency Medicine 28:474-479. Reducing Attendances and Waits
  139. (2003). Discharge from triage: modelling the potential in different types of emergency department’,
  140. (2002). Discharge planning. Armchair fan’,
  141. (1995). Discharging patients earlier from Winnipeg hospitals: does it adversely affect quality of care?’,
  142. (1978). Distance and the decision to visit an emergency department’
  143. (2005). Diverting managed care Medicaid patients from pediatric emergency department use’, Pediatrics 95:170-178. Reducing Attendances and Waits in Emergency Departments © NCCSDO
  144. (1996). Do admitted patients held in the emergency department impact the throughput of treat-and-release patients?’,
  145. (2000). Do emergency physicians save time when locating a live intrauterine pregnancy with bedside ultrasonography?’, Academic Emergency Medicine. 7:988-993. Reducing Attendances and Waits
  146. (2000). Do hospital fall prevention programs work? A systematic review’,
  147. (1996). Do patients use minor injury units appropriately?’,
  148. (1997). Do triage nurse-initiated X-rays for limb injuries reduce patient transit time?’ Accident and Emergency Nursing.
  149. (1999). Doctor’s assistants - do we need them?’, Journal of Accident and Emergency Medicine 16:114-116. Reducing Attendances and Waits in Emergency Departments © NCCSDO
  150. (1999). Does criteria based dispatch of 999 calls adequately detect the critically ill and injured?’, Pre-hospital Immediate Care 3:191-195. Reducing Attendances and Waits
  151. (1997). Does reduced length of stay decrease the number of emergency department patients who leave without seeing a physician?’,
  152. (1993). Does the emergency department need a dedicated stat laboratory? Continuous quality improvement as a management tool for the clinical laboratory’,
  153. (2000). Don’t accept ED’s claim it’s too busy to benchmark emergency department’,
  154. (2003). Don’t throw triage out with the bathwater’,
  155. (1999). Dynamics of bed use in accommodating emergency admissions: stochastic simulation model’,
  156. (2000). Earlier initiation of antibiotic treatment for severe infections after interventions to improve the organization and specific guidelines in the emergency department’,
  157. (2004). Early emergency department treatment of acute asthma with systemic corticosteroids. (Cochrane Review)’,
  158. (2001). Early revisit, hospitalization, or death among older persons discharged from the ED’,
  159. (1993). Early social work intervention in the emergency department’,
  160. (2003). Early thrombolysis for the treatment of acute myocardial infarction: a systematic review and economic evaluation’,
  161. (2000). Echoes of things to come.
  162. (2001). Economic evaluation of a community based exercise programme to prevent falls’,
  163. (1992). ED overcrowding in New York City’,
  164. (1999). ED overcrowding in Taiwan: facts and strategies’,
  165. (1999). ED pledge: See doc in 30 minutes or visit is free’,
  166. (1997). ED redesign puts all patients on fast-track’, Patient Focused Care
  167. (2003). ED triage: Is a five-level triage system best?’,
  168. (1991). Effect of a ‘fast track’ admission for acute myocardial infarction on delay of thrombolysis’,
  169. (1996). Effect of a copayment on use of the emergency department in a health maintenance organisation’,
  170. (1997). Effect of a Heart failure program on hospitalisation frequency and exercise tolerance’,
  171. (1997). Effect of a pediatric observation unit on the rate of hospitalization for asthma’, Annals of Emergency Medicine 29:218-222. Reducing Attendances and Waits
  172. (1999). Effect of a practice guideline for emergency department care of falls in elderly patients on subsequent falls and hospitalisations for injuries’,
  173. (2002). Effect of a rapid assessment clinic on the waiting time to be seen by a doctor and the time spent in the department, for patients presenting to an urban emergency department: A controlled prospective trial’,
  174. (2001). Effect of an emergency department (ED) managed acute care unit on ED overcrowding and emergency medical services diversion’,
  175. (1997). Effect of emergency physician-performed pelvic sonography on length of stay in the emergency department’,
  176. (1986). Effect of establishing a primary care health centre on the utilisation of primary health care and other outpatient care in a Swedish urban area’,
  177. (2003). Effect of NHS walk-in centre on local primary healthcare services: before and after observational study’,
  178. (2000). Effect of patients seeing a general practitioner in accident and emergency on their subsequent reattendance: Cohort study’,
  179. (1999). Effect of point of care testing on length of stay in an adult emergency department’,
  180. (1996). Effect of rotational patient assignment on emergency department length of stay’,
  181. (2003). Effect of weather on attendance with injury at a paediatric emergency departm ent’,
  182. (1997). Effects of a new fee-for-service Medicaid managed care plan on pediatric emergency department utilization... including commentary by Rousseak-Harsany E.’,
  183. (2001). Effects of a pediatric emergency department febrile infant protocol on time to antibiotic therapy’,
  184. (1997). Effects of air pollution on emergency room visits for respiratory illnesses in Montreal, Quebec’,
  185. (1995). Effects of formal triage on A&E waiting times’, Nursing Times 91:14.
  186. (1998). Effects of home-based interventions on unplanned re-admissions and out-ofhospital deaths’,
  187. (2000). Effects of preventative home visits to elderly people living in the community: Systematic review’,
  188. (2001). Efficacy of follow-up appointments in decreasing subsequent ED visits and hospital admissions’, Academic Emergency Medicine 8:579.
  189. (2003). Electronic tracking board reduces ED patient length of stay at Indiana Hospital’,
  190. (2002). Emergency (999) calls to the ambulance service that do not result in patient being transported to hospital: an epidemiological study’,
  191. (2004). Emergency Care Waits: Survey Using a National Representative Sample. London: Department of Health.
  192. (1986). Emergency care. Identification of psychosocial problems’,
  193. (1995). Emergency delays’,
  194. (1999). Emergency department attendance: A critical appraisal of the key literature’, New Zealand Health Technology Assessment
  195. (1994). Emergency department based home care’,
  196. (2003). Emergency department fast-track system. Canada: Alberta Heritage Foundation for Medical Research.
  197. (2003). Emergency department overcrowding and ambulance transport delays for patients with chest pain’,
  198. (2001). Emergency department overcrowding following systematic hospital restructuring: trends at twenty hospitals over ten years’,
  199. (2001). Emergency department overcrowding in Massachusetts: making room in our hospitals.
  200. (2002). Emergency department overcrowding’,
  201. (1989). Emergency department revisits’,
  202. (1989). Emergency department technicians in a university-county hospital: A 15-year experience’,
  203. (1989). Emergency department: Effect of structure on care delay’, Annales Francaises d’Anesthesie et de Reanimation 8:Suppl:R73.
  204. (2001). Emergency medical services telephone referral programme’, Prehospital Emergency Care
  205. (2003). Emergency Nurse Practitioners. [Online] Available
  206. (1987). Emergency room use and abuse. How it varies with payment mechanism’,
  207. (1998). Emergency room visits for respiratory illnesses among the elderly in Montreal: association with low level ozone exposure’, Environmental Research.
  208. (1996). Employing general practitioners in accident and emergency departments. Better to increase number of consultants in accident and emergency medicine’,
  209. (2000). Epidemiologic analysis of an urban, public emergency department’s frequent users’,
  210. (1995). Establishing a minor illness nurse in a busy general practice’,
  211. (1995). Ethics of emergency department triage: SAEM position statement’,
  212. (1998). Evaluating stat testing options in an academic health center: therapeutic turnaround time and staff satisfaction’,
  213. (1995). Evaluation of a portable clinical blood analyzer in the emergency department’, Academic Emergency Medicine.
  214. (1992). Evaluation of nurse triage in a British accident and emergency department’,
  215. (2000). Evaluation of protocols allowing emergency medical technicians to determine need for treatment and transport’,
  216. (2002). Evaluation of the costeffectiveness of direct triage and transportation to minor injuries units by ambulance crews. London: London Ambulance Service NHS Trust.
  217. (2000). Evaluation of the functional component underlying the frequent attendance to a hospital emergency service and its economic consequences’, Anales de Medicina Interna.
  218. (1997). Evaluation of the Minor Injuries Clinic at the Western General Hospital,
  219. (1997). Expanding the role of the nurse in the accident and emergency department’,
  220. (2001). Expanding the roles of outpatient pharmacists: effects on health services utilisation, costs, and patient outcomes. (Cochrane Review)’,
  221. (1999). Factors predicting patients who leave without being seen’, Academic Emergency Medicine 6:399-a.
  222. (1994). Failure to validate a predictive model for refusal of care to ED patients’,
  223. (1999). Fall prevention: a systematic review’, Clinical Effectiveness in Nursing 3:106-111.
  224. (1992). Fast track admission for acute myocardial infarction’,
  225. (1992). Fast track admission for patients with acute myocardial infarction’,
  226. (1999). Fast track and the pediatric emergency department: resource utilization and patient outcomes’,
  227. (1996). Fast tracking patients in an urban pediatric emergency department’,
  228. (1996). Fast tracking patients with a proximal femoral fracture’,
  229. (2005). Fast tracking’ patients with a proximal femoral fracture’, Journal of Accident and Emergency Medicine 13:108-110. Reducing Attendances and Waits in Emergency Departments © NCCSDO
  230. (1998). Fast-tracking of myocardial infarction by paramedics’,
  231. (2001). Feasibility of paramedic treatment and referral of minor illnesses and injuries’, Prehospital Emergency Care 5:371-378.
  232. (2000). fires? - emergency hospital admission and the concept of prevention’,
  233. (1995). First Year Interim Report - Minor Injuries Clinic,
  234. (1993). Follow up evaluation of discharge planning by social workers in an acute care centre in Israel’, Social Work in Health Care
  235. (2001). Follow-up after an ED visit for asthma’, Academic Emergency Medicine 8:418.
  236. (2002). Forecasting the nation’s health. London: Met Office.
  237. (2002). Four years’ experience of telemedicine support of a minor accident and treatment service’,
  238. (2003). Frequent attenders to an emergency department: a study of primary health care use, medical profile, and psychosocial characteristics’,
  239. (1998). Frequent ED users: patterns of use over time’,
  240. (2001). Frequent overcrowding in U.S. emergency departments’,
  241. (2001). Frequent use of the hospital emergency department is indicative of high use of other health care services’,
  242. Frequent users of the emergency department: A program to improve care and reduce visits’,
  243. (1997). Frequent users of the emergency department: Can we intervene?’,
  244. (1994). General practitioner appointment systems, patient satisfaction, and use of accident and emergency services-a study in one geographical area’,
  245. (1998). Grandmothers’ role in preventing unnecessary accident and emergency attendances: cohort study’,
  246. (2002). Guidelines on the role of physician assistants in the emergency department’,
  247. (1995). Guidelines to reduce x ray examinations in accident departments. Implementing guidelines may not improve outcome for patients’,
  248. (1998). Guidelines to reducing delays in administration of thrombolytic therapy in acute myocardial infarction’,
  249. (1989). Health care utilisation after referral from a hospital emergency department’,
  250. (1990). Health education and the inappropriate use of accident and emergency departments: the views of accident and emergency nurses’,
  251. (1998). Health literacy and the risk of hospital admission’,
  252. (1997). Healthcare expenditures. Development of a heart failure center: a medical center and cardiology practice join forces to improve care and reduce costs’,
  253. (2003). Healthcare Improvement.
  254. (1985). Heavy users of an emergency department: psycho-social and medical characteristics, other health care contacts and the effect of a hospital social worker intervention’,
  255. (2000). Home care and emergency medicine: A pilot project to discharge patients safely from the emergency department’, Academic Emergency Medicine 7:951-954. Reducing Attendances and Waits
  256. (2001). Home care by outreach nursing for chronic obstructive pulmonary disease. (Cochrane Review)’
  257. (2003). Hospital and emergency department crowding in the United States’,
  258. (2001). Hospital Association.
  259. (1999). Hospital delays and problems with thrombolytic administration in patients receiving thrombolytic therapy: a multicenter prospective assessment’,
  260. (1996). How accurate are waiting time perceptions of patients in the emergency department?’,
  261. (1991). How do nurses working in hospital emergency departments perceive local general practitioners? A study in six English hospitals’,
  262. (1998). How do physicians and nurses spend their time in the emergency department?’,
  263. (2001). How influenza outbreaks affect emergency department overcrowding and ambulance diversion’, Academic Emergency Medicine 8.574.
  264. (1999). Identification of patients suitable for direct admission to a coronary care unit by ambulance paramedics: An observational study’, Pre-Hospital Immediate Care.
  265. (2003). Identifying barriers to improving the process of discharging patients from hospital’, Primary Health Care
  266. (1994). Identifying feelings engendered during triage assessment in the accident and emergency department: the use of visual analogue scales’,
  267. (2000). Identifying high risk elderly patient being discharged home from the ED and characterising their unmet social needs’, Academic Emergency Medicine 7:572.
  268. (2002). Impact of a dedicated syncope and falls facility for older adults on emergency beds’,
  269. (1996). Impact of a twotiered trauma response in the emergency department: Promoting efficient resource utilization’,
  270. (2003). Impact of blood testing on patient disposition from the emergency department’,
  271. (2003). Impact of critical bed status on emergency department patient flow and overcrowding’,
  272. (1983). Impact of freestanding emergency centre on hospital emergency department use’,
  273. (1999). Impact of mailing information about nonurgent care on emergency department visits by Medicaid beneficiaries enrolled in managed care’,
  274. (2000). Impact of NHS Direct on demand for immediate care: observational study’,
  275. (1996). Impact of point of care testing on patients’ length of stay in a large emergency department’,
  276. (1994). Impact of social work on recidivism and non-medical complaints in the emergency department’, Social Work in Health Care
  277. (1999). Impact on an accident and emergency department of Glasgow’s new primary care emergency service’,
  278. (1992). Implementation of a one-hour fast-track service: One hospital’s experience’,
  279. (2003). Implementation of a pointof-care satellite laboratory in the emergency department of an academic medical center. Impact on test turnaround time and patient emergency department length of stay’,
  280. (1992). Improvements in “stat” laboratory turn-around time. A model continuous quality improvement project’,
  281. (1998). Improving discharge: the role of the discharge coordinator’,
  282. (2000). Improving door to needle times with nurse initiated thrombolysis’,
  283. (1996). Inappropriate emergency department use: a comparison of three methodologies for identification’,
  284. (1985). Inappropriate emergency department visits’,
  285. (1998). Inappropriate” attenders at accident and emergency departments I: Definition, incidence and reasons for attendance’,
  286. (2003). Inappropriately delayed discharge from hospital: What do we know?’
  287. (1994). Increased health care costs associated with ED overcrowding’,
  288. (1989). Influence of tests on patient time in the emergency department’, Reanimation Soins Intensifs Medecine d’Urgence
  289. (1999). Influenza activity in England and
  290. (2001). Influenza virus as a determinant of emergency department overcrowding’,
  291. (1999). Initiation of x-rays by the triage nurse: competency and its effect on patients’ total time spent in the accident and emergency department’,
  292. (1997). Innovation in Accident and Emergency management: establishing a nurse practitioner-run minor/ injuries/primary care unit’, Accident and Emergency Nursing
  293. (2002). Insertion of IVs by residents: Does it save time?’
  294. (1998). Insights on service system design from a normal approximation to Erlang’s delay formula’,
  295. (2003). Intervention to decrease emergency department crowding: Does it have an effect on return visits and hospital readmissions?’
  296. (2001). Interventions for educating children who have attended the emergency room for asthma’,
  297. (1983). Introducing a community health center at Mosgiel, New Zealand: Effects on use of the hospital accident and emergency
  298. (2003). Is it possible to safely triage callers to EMS dispatch centers to alternative resources?’ Prehospital Emergency Care
  299. (2000). Joint working. It’s a stitch up’,
  300. (1996). Judge condemns insensitive NHS over dying boy’, The Times
  301. (1997). Judging who needs emergency department care: a prerequisite for policy-making’,
  302. (2001). Knowledge, attitudes, and selfefficacy and compliance with medical regimen, number of emergency department visits, and hospitalizations in adults with asthma’, Heart and Lung:
  303. (1992). Length of stay in the hospital emergency department’,
  304. (2002). Limited (information only) patient education programs for adults with asthma’,
  305. (1998). Limited asthma education reduces emergency department visits but does not improve patient outcomes’, Evidence Based Medicine 3:121.
  306. (1999). Loneliness as a predictor of hospital emergency department use’,
  307. (2002). Low-dose inhaled corticosteroid therapy and risk of emergency department visits for asthma’,
  308. (1995). Major trauma workload within an English health region’,
  309. (2000). Making a difference to A&E: analysis of the operational inefficencies in A&E departments in / major acute hospitals in Dublin’,
  310. (1991). Making the ED waiting game a little easier to play’,
  311. (1998). Making Winter Monies Work: A Review of localy used methods for selecting and evaluating supply-side interventions. Keele:
  312. (2002). Management by constraints: Considering patient volume when adding medical staff to the emergency department’,
  313. (1995). Management of observation units’, Annals of Emergency Medicine 25:823-830. Reducing Attendances and Waits
  314. (2000). Managers “hid” patients from snapshot survey’ Nursing Standard 14:4.
  315. (1995). Managing chronic congestive heart failure in the home’, Home Healthcare Nurse
  316. (2001). Managing waiting patients’ perceptions: The role of process control’,
  317. (2001). Mathematical modelling of patient flow through an accident and emergency department’,
  318. (2000). Measuring appropriate use of acute beds. A systematic review of methods and results’,
  319. (2001). Medical student effect on emergency department length of stay’,
  320. (1999). Mental health triage in emergency medicine’,
  321. (2003). Migraine preventive medicine reduces resource utilisation’,
  322. (2001). Minor injuries. The present state’,
  323. (2001). Minor injuries/illness nurse treatment service’,
  324. (1993). Minor injury in the community’,
  325. (1989). Modeling emergency department operations using advanced computer simulation systems’,
  326. (2000). Mortality and prehospital thrombolysis for acute myocardial infarction: A meta-analysis’,
  327. (2002). National Evaluation of NHS Walk-in Centres.
  328. (1997). Near-patient testing by proxy’,
  329. (2000). New models of care for 999 callers with conditions that are neither life threatening nor serious: results of a national survey’, Pre Hospital Immediate Care 4:180-182. Reducing Attendances and Waits
  330. (2002). Next-day care for emergency department users with nonacute conditions. A randomized, controlled trial’,
  331. (2001). NHS Walk-in centres in London.
  332. (1994). No place to unload: A preliminary analysis of the prevalence, risk factors, and consequences of ambulance diversion’,
  333. (1994). No problem: establishing a nurse requested X-ray service’,
  334. (2002). No room at the inn: overcrowding in Ontario’s emergency departments’, Canadian Journal of Emergency Medicine 4:91-97. Reducing Attendances and Waits
  335. (1995). Non-emergency attenders at a district general hospital accident and emergency department’,
  336. (2001). Non-medical technicians reduce emergency department waiting times’,
  337. (1987). Nonemergency emergency room use in patients with and without primary care physicians’,
  338. (1994). Nonurgent emergency department visits: meeting an unmet need’,
  339. (1998). Nonurgent emergency department visits: the effect of having a regular doctor’,
  340. (2003). Nonurgent pediatric emergency department visits: Care-seeking behavior and parental knowledge of insurance’, Pediatric Emergency Care.
  341. (2000). Nurse management of patients with minor illnesses in general practice: Multicentre, randomised control trial’,
  342. (1997). Nurse practitioners: their role in A&E and primary care’,
  343. (2002). Nurse telephone triage for same day appointments in general practice: multiple interrupted time series trial of effect on workload and costs.
  344. (2001). Nurse-initiated coronary thrombolysis’,
  345. (2001). Nurse-led discharge planning improves quality of care’,
  346. (1989). Observation care units’,
  347. (1997). Observational study of a general practice out of hours cooperative: measures of activity’,
  348. (2001). of EMS Physicians.
  349. (2004). Older frequent emergency department attenders’ appraisal of emergency department social work. A comparative UK and Swedish study [Online]. Available at www2.warwick.ac.uk/fac/soc/shss/mrc/olderpeople/mcleod.doc .
  350. (1999). Older people in A&E: A position statement’,
  351. (1999). Older people in A&E: literature review and implications for British policy and practice’,
  352. (1987). On the validity and utility of queuing models of human service’,
  353. (2003). One size does not fit all’,
  354. (2002). Overcrowded VUMC emergency department turns to technology’, The Reporter: Vanderbilt Medical Centre [Online]. Available
  355. (2000). Overcrowding in the nation’s emergency departments: complex causes and disturbing effects’,
  356. (1994). Paediatric inpatient utilisation in a district general hospital’, Archives of Disease in Childhood 70:488-492. Reducing Attendances and Waits
  357. (1992). Paramedics in the emergency department’,
  358. (2000). Patient satisfaction investigations and the emergency department’,
  359. (1995). Patient satisfaction with a nurse practitioner in a university emergency service’,
  360. (2000). Patient satisfaction with physician assistants (PAs) in an ED fast track’,
  361. (1997). Patient’s Charter: Developing a New Charter and Changes to the Immediate Assessment in A&E Standard. London: Department of Health. Reducing Attendances and Waits
  362. (1988). Patients attending casualty from one group practice’,
  363. (2005). pdf (accessed 29
  364. (1986). Pediatric nurse triage. Its efficacy, safety, and implications for care’,
  365. (1996). Perceptions and satisfaction with emergency department care’,
  366. (2001). Physician satisfaction and emergency department laboratory test turnaround time’,
  367. (2000). Physician, nurse, and social worker collaboration in primary care for chronically ill seniors’,
  368. (2002). Point of care testing in the emergency department’,
  369. (1998). Point of care testing: randomised controlled trial of clinical outcome’,
  370. (1999). Point-of-care testing outcomes in an emergency department’,
  371. (1997). Postal survey of patients’ satisfaction with a general practice out of hours co-operative’,
  372. (1995). Posters for accident departments: simple methods of sustaining reduction in x ray examinations’,
  373. (1996). Predicting daily visits to a walk-in clinic and emergency department using calendar and weather data’,
  374. (2003). Predictors and Outcomes of Frequent Emergency Department Users’,
  375. (1996). Predictors of non-urgent utilization of hospital emergency services in Kuwait’,
  376. (1992). Preformatted charts improve documentation in the emergency department’, Annals of Emergency Medicine 21:534-540. Reducing Attendances and Waits
  377. (1999). Prescription noncompliance: contribution to emergency department visits and cost’,
  378. (2001). Preventative care in the emergency department: Should emergency departments institute a falls prevention programme for elder Patients? A systematic review’,
  379. (2003). Prevention and reduction of accidental injury in children and older people -evidence briefing. London: Department of Health. Available online Reducing Attendances and Waits
  380. (1995). Preventive care in the emergency department: Should emergency departments institute a falls prevention program for elder patients? A systematic review’,
  381. (1993). Primary care and public emergency department overcrowding’,
  382. (1994). Primary care as a determinant of the utilization of hospital emergency services’,
  383. (1999). Primary Care Attenders in A&E Literature Review.
  384. (1996). Primary care in London: An evaluation of general practitioners working in an inner city accident and emergency department’,
  385. (1995). Primary care in the accident and emergency department: I. Prospective identification of patients’,
  386. (1995). Primary care in the accident and emergency department: II. Comparison of general practitioners and hospital doctors’,
  387. (1997). Primary care physician access and gatekeeping: a key to reducing emergency department use’, Clinical Pediatrics.
  388. (1998). Primary care problems in patients attending a semi-rural accident and emergency unit: a prospective study’,
  389. (1999). Primary care units in A&E departments in North Thames in the 1990s: initial experience and future implications’,
  390. (2002). Prior use of a telephone-nursing triage service by patients of emergency services’,
  391. (2003). Probe into the second-line onduty nurses enhancing night shift nursing work quality in emergency room’,
  392. (2003). Prospective confirmation that total daily patient care time can measure emergency department overcrowding’, Academic Emergency Medicine 10:526-b-527-b.
  393. (2003). Prospective confirmation total daily patient time as a measure of emergency department overcrowding’, Academic Emergency Medicine 10:526-a.
  394. (1995). Prospective identification and triage on nonemergency patients out of an emergency department: A five year study’,
  395. (1999). Prospective, randomized trial of template-assisted versus undirected written recording of physician records in the emergency department’,
  396. (1998). Providing primary care in accident and emergency departments’,
  397. (1999). Provision for clinic patients in the ED produces more nonemergency visits’,
  398. Provision of clinically based information improves patients’ Reducing Attendances and Waits in Emergency Departments © NCCSDO 2005 244 perceived length of stay and satisfaction with EP’,
  399. (1989). Psychiatric intervention in the community hospital emergency room’,
  400. (2002). Public Attitudes and Perceptions of Accident and Emergency. Internal Report.
  401. (2000). Public understanding of medical terminology: non-English speakers may not receive optimal care’,
  402. (2002). Queues in health’,
  403. (2000). Randomised controlled study comparing the care and clinical outcome of patients with minor injuries treated by nurse practitioners versus senior house officers (BL)’, Sheffield:
  404. (1999). Randomized controlled trial of general practitioner versus usual medical care in a suburban accident and emergency department using an informal triage system’,
  405. (1999). Rapid assessment team reduces waiting time’,
  406. (2002). Rapid process redesign in a university-based emergency department: Decreasing waiting time intervals and improving patient satisfaction’,
  407. (1999). Re-engineering an Australian Emergency Department: Can we measure success?’,
  408. (1999). Readmission of patient discharged from emergency departments’, Age and Ageing 28:499-500. Phadke, M.S. (n.d.) ‘Introduction to robust design: Taguchi Method’.
  409. (2001). Real-time assessment of the overcrowded emergency department’
  410. (1999). Reasons why patients bypass their GP to visit a hospital emergency department’, Accident and Emergency Nursing 7:217-225.
  411. (1997). Redesign of a hospital’s internal medicine service’,
  412. (2002). Redesigning triage to reduce waiting times’,
  413. (2003). Reduced delays in A&E for elderly patients with hip fractures’,
  414. (2003). Reducing ambulance diversion: A multi-hospital approach’, Prehospital Emergency Care 7:99-108. Reducing Attendances and Waits in Emergency Departments © NCCSDO
  415. (2005). Reducing Attendances and Waits
  416. (2005). Reducing Attendances and Waits in Emergency Departments © NCCSDO
  417. (1996). Reducing Delays and Waiting Times Throughout the Healthcare System. Boston: Institute for Healthcare Improvement.
  418. (2001). Reducing emergency visits in older adults with chronic illness: a randomized, controlled trial of group visits’,
  419. (1988). Reduction in hospital readmission stay of elderly patients by a community based hospital discharge scheme: A randomised controlled trial’,
  420. (1990). Referral of non-urgent cases from an emergency department: patient compliance, satisfaction and attitudes’,
  421. (1983). Referrals from an emergency room to primary care practices at an urban hospital’,
  422. (1994). Referring patients from triage out of the emergency department to primary care settings: one successful emergency department experience’,
  423. (2001). Reforming Emergency Care: First steps to a new approach.
  424. (1990). Refusal of care-the ethical dilemma’,
  425. (1990). Refusing care to patients who present to an emergency department’, Annals of Emergency Medicine 19:262-267. Reducing Attendances and Waits in Emergency Departments © NCCSDO
  426. (2005). Region. [n.d.] ‘Regional collaborative for system improvement 2004-2005’ [Online]. Available(March
  427. (1995). Relating patient satisfaction to waiting time perceptions and expectations: The disconfirmation paradigm’,
  428. (1998). Relation of out of hours activity by general practice and accident and emergency services with deprivation in Nottingham: longitudinal survey.’
  429. (1998). Relation of rates of self referral to A&E departments to deprivation’,
  430. (2002). Relationship between early primary care and emergency department use in early infancy by the medicaid population’,
  431. (2001). Relationship between maloccurence and ED census and staffing’, Academic Emergency Medicine 8:499.
  432. (2003). Relationship between total daily patient care time and performance as a measure of emergency department efficiency’,
  433. (2001). Repeated use of the emergency department: qualitative study of the patient’s perspective’,
  434. (2002). Responding to emergency department crowding: A guidebook for chapters. Dallas: American College of Emergency Physicians.
  435. (1998). Restricting extensions to permitted licensing hours does not influence the numbers of alcohol or assault related attendances at an inner city accident and emergency department’,
  436. (2003). Review of Early Thrombolysis. Faster and Better Treatment for Heart Attack Patients. London: Department of Health.
  437. (1990). Role of the emergency department in decreasing the time to thrombolytic therapy in acute myocardial infarction’,
  438. (1998). Role of the short stay observation ward in accident and emergency departments in the United Kingdom’,
  439. (2002). ROMEO: A rapid rule out strategy for low risk chest pain. Does it work in a UK emergency department?’,
  440. (1997). Root cause analysis of laboratory delays to an emergency department’,
  441. (2000). Safely directing patients to appropriate levels of care: Guideline-driven triage in the emergency service’,
  442. (1998). Safety and effectiveness of nurse telephone consultation in out of hours primary care: randomised controlled trial’,
  443. (2002). Satisfied Patients Exiting the Emergency Department (SPEED)’,
  444. (2003). See and treat: a management driven method of achieving targets or a tool for better patient care? One size does not fit all’,
  445. (2002). See and Treat. London: NHS Modernisation Agency. Available
  446. (2004). Self-management education for chronic obstructive pulmonary disease. (Cochrane Review)’,
  447. (1988). Self-referral to accident and emergency department: Patients’ perceptions’,
  448. (1998). Senior Reducing Attendances and Waits in Emergency Departments © NCCSDO
  449. (2001). Services Committee.
  450. (2001). Services for helping acute stroke patients avoid hospital admission. (Cochrane Review)’,
  451. (2001). Shared Learning Opportunities Project. [Online]. Available
  452. (1997). Short communications. In response: NP care/discharge planning saves money’, Nurse Practitioner 22:238-240. Reducing Attendances and Waits
  453. (1996). Short stay observation patients: general wards are inappropriate’,
  454. (1985). Short-term holding room treatm ent of asthmatic children’,
  455. (1996). Should accident and emergency nurses request radiographs? Results of a multicentre evaluation’,
  456. (2001). Should ambulant patients be directed to reception or triage first?’,
  457. (1992). Should nurses be allowed to request x-rays in an accident and emergency department?’,
  458. (2000). Should we establish chest pain observation units in the UK? A systematic review and critical appraisal of the literature’,
  459. (1999). Smoking cessation: evidence based recommendations for the healthcare system’, British Medical Journal 318:182-185. Reducing Attendances and Waits in Emergency Departments © NCCSDO
  460. (1998). So many unanswered questions: the emergency care system of the future’,
  461. (2003). Social care’s impact on emergency medicine: a model to test’, Emergency Medicine Journal 20:134-137. Reducing Attendances and Waits
  462. (2000). Social needs in the elderly, recognition by emergency physicians and impact on additional medical care’, Academic Emergency Medicine 7:571.
  463. (1994). Social work services in an emergency department: An integral part of the health care safety net’,
  464. (1993). Social work technician program’,
  465. Stroke patient evaluation in the emergency department before pharmacologic therapy’,
  466. (2001). Study of a nurse practitioner working in a paramedic role’, Emergency Nurse 9:11-14. Reducing Attendances and Waits
  467. (2000). Study of choice between accident and emergency departments and general practice centres for out of hours primary care problems’,
  468. (1999). Suturing of minor lacerations by clinical nurse specialists in the emergency department’, Accident and Emergency Nursing
  469. (2002). Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors’,
  470. (1998). Teaching students during an emergency walk-in clinic rotation does not delay care’, Academic Medicine.
  471. (2005). Teamwork helps cut ED wait times’, Healthcare Benchmarks7:40-41. Reducing Attendances and Waits in Emergency Departments © NCCSDO
  472. (1992). Telephone care as a substitute for routine clinic follow-up’,
  473. (1998). Telephone triage could help’,
  474. (2002). Telephone triage in Western Australia’,
  475. (2002). Temporal and demographic variations in attendance at accident and emergency departments’,
  476. (1991). The “no-patient” run: 2698 patients evaluated but not transported by paramedics’,
  477. (2002). The access-block effect: relationship between delay to reaching an inpatient bed and inpatient length of stay’,
  478. (1996). The advanced nurse practitioner in CCU. Care of the critically ill’,
  479. (2001). The benefits of using clinical pathways for managing acute paediatric illness in an emergency department’,
  480. (2000). The Clinical, Organisational and Cost Consequences of ComputerAssisted Telephone Advice to Category C 999 Ambulance Service Callers: Results of a Controlled Trial.
  481. (2001). The deployment of community paramedic officers within urban areas of Staffordshire. Staffordshire: Staffordshire Ambulance Service.
  482. (1990). The discharge of elderly patients from an accident and emergency department: functional changes and risk of readmission’,
  483. (1997). The dynamics of patient visits to a public hospital ED: A statistical model’,
  484. (2003). The effect of a new emergency medicine residency program on patient length of stay in a community hospital emergency department’,
  485. (2001). The effect of an out of hours reform on attendance at casualty wards. The Danish example’,
  486. (2003). The effect of bedside registration on patient encounter times in an urban academic emergency department’, Academic Emergency Medicine 10:525-a.
  487. (2003). The effect of hospital occupancy on emergency department length of stay and patient disposition’,
  488. (2002). The effect of PACS on the time required for technologists to produce radiographic images in the emergency department radiology suite’,
  489. (1994). The effect of the fast of Ramadan on accident and emergency attendances’,
  490. (2001). The effect of the introduction of NHS Direct on requests for telephone advice from an accident and emergency department’,
  491. (2000). The effect on hospital admission profiles of establishing an emergency department observation ward’,
  492. (1999). The effectiveness of predischarge home assessment visits: a systematic review’,
  493. (2000). The effects of clinical case management of hospital service use among ED frequent users’,
  494. (2000). The effects of supporting discharge from hospital to home in older people’,
  495. (2002). The effects of the absence of emergency medicine residents in an academic emergency department’,
  496. (2003). The effects of total laboratory automation on the management of a clinical chemistry Reducing Attendances and Waits
  497. (1997). The emergency nurse practitioner role in major accident and emergency departments: Professional issues and the research agenda’,
  498. (1993). The evaluation of a portable clinical analyzer in the emergency department’,
  499. The feasibility and efficacy of early discharge planning initiated by the admitting department into acute care hospitals.
  500. (2002). The financial burden of ED congestion and hospital overcrowding for chest pain patients awaiting admission’, Academic Emergency Medicine 9:367-a.
  501. (1996). The full moon and ED patient volumes: Unearthing a myth’,
  502. (2001). The impact of a decision support system on the role of the nurse in a primary care emergency centre’,
  503. (2001). The impact of an ED observation unit bed on inpatient bed availability’, Academic Emergency Medicine 8:576.
  504. (1985). The impact of cost sharing on emergency department use’,
  505. (2003). The impact of influenza-associated respiratory illnesses on hospitalizations, physician visits, emergency room visits, and mortality’,
  506. (2001). The impact of primary care follow-up after an acute exacerbation of asthma on subsequent emergency department utilization and hospitalization’, Academic Emergency Medicine 9:394-b.
  507. (2000). The influence of an urgent care center on the frequency of ED visits in an urban hospital setting’,
  508. (1948). The life and works of A.K.
  509. (2001). The management of minor injuries-a personal view’,
  510. (1996). The nurse practitioner: management of minor trauma’,
  511. (2003). The overcrowded emergency department: perception vs reality’,
  512. (1985). The psychology of waiting lines’,
  513. (1991). The quick response team: a pilot project’,
  514. (1983). The role of deputising agencies in the delivery of primary health care services’,
  515. (1999). The role of paramedics in
  516. (1994). The role of the social worker in the accident and emergency department of a district general hospital’,
  517. (1996). The Safety and Reliability of Priority Dispatch Systems. Sheffield:
  518. (2001). The Sheffield experiment: The effects of centralising accident and emergency services in a large urban setting’,
  519. (2000). The short-stay emergency observation ward is here to stay’,
  520. (1998). The use and overlap of AED and general practice services by patients registered at two inner London general practices’,
  521. (2001). The Use of Criteria Based Dispatch in the Prioritisation of 999 Emergency Ambulance Calls. [PhD].
  522. (1986). The use of education to reduce utilization of emergency health care services: a case illustration’,
  523. (1995). The use of hospital emergency departments for nonurgent health problems: a national perspective’,
  524. (1998). The use of out of hours health services: a cross sectional survey’,
  525. The use of the accident and emergency department.
  526. (1996). The Veterans Cooperative study group on primary care and hospital readmissions. Does increased access to primary care reduce hospital readmissions?’ New England
  527. (1998). These novel strategies decrease ED delays’,
  528. (1996). Thunderstorm associated asthma: a detailed analysis of environmental factors’,
  529. (2001). Thunderstorm outflows preceding epidemics of asthma during spring and summer’,
  530. (2000). Timing is everything: Impact of emergency department care on hospital length of stay’,
  531. (1995). Transcription services in the ED’,
  532. (1998). Transvaginal ultrasonography by emergency physicians decreases patient time in the emergency department’,
  533. (1988). Treatment of mild exacerbations of recurrent alcoholic pancreatitis in an emergency department observation unit’,
  534. (1990). Triage in accident and emergency departments’,
  535. (2000). Triage nurse requested xrays - are they worthwhile?’
  536. (2000). Triage of minor burn wounds: avoiding the emergency department’,
  537. (2000). Triage patients for a rapid (5 minute) electrocardiogram: A rule based on presenting chief complaints’,
  538. (1997). Triage: limitations in predicting need for emergency care hospital admissions’,
  539. (1997). Trial of a method of reducing inappropriate demands on a hospital emergency department’,
  540. (2003). Understanding the causes of overcrowding in emergency departments in the Capital Health Region in Alberta focus group study’,
  541. (1994). Understanding the roles of the customer and the operation for better queue management’,
  542. (2001). Undertriage, overtriage or no triage?’,
  543. (1995). Unnecessary delays in accident and emergency Reducing Attendances and Waits
  544. (1991). Unplanned reattendance in the accident and emergency department’,
  545. Urban emergency department overcrowding: Defining the problem and eliminating misconceptions’,
  546. (2001). Use of computer terminals on wards to assess emergency test results: a retrospective audit’,
  547. (2003). Use of emergency observation and assessment wards: a systematic literature review’,
  548. (1997). Use of occupational therapists in A&E’,
  549. (1985). Use of prehospital care providers in emergency departments: A national survey’,
  550. (1996). Use of the emergency department for nonurgent care during regular business hours’,
  551. (1997). Using simulation to reduce length of stay in emergency departments’,
  552. (2000). Using the online and offline change model to improve efficiency for fast-track patients in an emergency department’,
  553. (2002). Usual source of care and nonurgent emergency department use’,
  554. (2003). Value of abdominal CT in the emergency department for patients with abdominal pain’,
  555. (1998). VESAS: A solution to seasonal fluctuations in emergency department census’, Annals of Emergency Medicine 32:698-702. Reducing Attendances and Waits in Emergency Departments © NCCSDO
  556. (2001). Violence in A&E departments: A systematic review of the literature’, Accident and Emergency Nursing 9:77-85.
  557. (2003). Virtual instrumentation and real-time executive dashboards. Solutions for health care systems’,
  558. (2001). Voice recognition software versus a traditional transcription service for physician charting in the ED’,
  559. (2000). Waiting for care: Too many patients, too little staff’,
  560. (2002). Waiting time and satisfaction of patients attending the emergency surgery unit of a university hospital center’, Presse Med.
  561. (1997). Waiting time in an urban accident and emergency department - a way to improve it’,
  562. (1994). What is an emergency? The judgements of two physicians’,
  563. (1999). What’s an emergency department (ED) visit worth? Willingness to pay out-of-pocket costs for minor injury varies for physician and non-physician clinicians (NPCs)’, Academic Emergency Medicine 6:403-a.
  564. (2000). Why are we waiting? Snapshots surveys of the impact of emergency pressures on patient care’,
  565. (1997). Why are you waiting? Formulating an information pamphlet for use in an accident and emergency department’, Accident and Emergency Nursing
  566. (2001). Will alternative immediate care services reduce demands for nonurgent treatment at accident and emergency’,
  567. (1999). Willingness to wait for an appointment rather than going to the ED’, Academic Emergency Medicine 6:538-a.
  568. (1991). Winter pressure on hospital beds’,
  569. (1996). Wireless bedside registration in the emergency department’,
  570. (1997). Workload management in A&E: Counting the uncountable and predicting the unpredictable’,
  571. (2003). Would a prehospital practitioner model improve patient care in rural Australia?’,

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